A 40-year-old man was brought to the emergency department after being gored in the neck by a bull. His general condition and vital signs were stable. No neurological deficit was detected. There was no significant bleeding in the wound area. The patient's left carotid pulse could be palpated. Despite the presence of mild symptoms, computed tomography angiography (CTA), followed by Doppler ultrasound (US), was used for further evaluation. CTA revealed an intimal tear and a filling defect consistent with thrombus in the lumen of the distal part of the left common carotid artery (CCA). US demonstrated that the bull's horn caused intimal tears in both the anterior and posterior walls, with the thrombus originating from the posterior wall. Given these findings, surgical exploration was preferred due to the risk of complications related to the endovascular approach. Neck exploration confirmed the findings, revealing an approximately 2 cm haematoma on the distal segment of the left CCA, indicative of a circumferential intimal tear that caused thrombus formation within the lumen. An arteriotomy was performed at the haematoma site, and a clot approximately 15 mm in length was removed. After excision of the circular intimal tear, an end-to-end repair was performed using a synthetic vascular graft. The patient was discharged on postoperative day 5. Imaging methods such as Doppler US and CTA should be used to ensure early diagnosis and appropriate treatment of both blunt and penetrating trauma. Patients not evaluated with these imaging modalities may later present with stroke, haematoma, or pseudoaneurysm.